Individual
MS. JAN ELIZABETH DUNDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, C-PNP
Contact information
Practice address
4550 HIGHLAND AVE, BEAUMONT, TX 77705
(409) 832-1924
(713) 523-4897
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(713) 523-4897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
588314
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
588314
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080462703
—
TX
Enumeration date
06/12/2006
Last updated
08/26/2013
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